Rocky Mountain Regenerative Medicine, PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ROCKY MOUNTAIN REGENERATIVE MEDICINE, PLLC

Practice address

2260 Baseline Rd Ste 102
Boulder, CO 80302-7740

Phone

(720) 739-1616

NPI assigned

Oct 9, 2018

Last updated

Oct 9, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Khoshal Latifzai, MDNPI 1356517742

Title

Partner

Phone

(720) 739-1616

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Khoshal Latifzai

  • Emergency Medicine Physician
  • Lakewood, CO
  • NPI 1356517742
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539043200000",
    "number": "1871068528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 BASELINE RD STE 102",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803027740",
            "telephone_number": "720-739-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 BASELINE RD STE 102",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803027740",
            "telephone_number": "720-739-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN REGENERATIVE MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-09",
        "last_updated": "2018-10-09",
        "status": "A",
        "authorized_official_last_name": "LATIFZAI",
        "authorized_official_first_name": "KHOSHAL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "720-739-1616",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rocky Mountain Pelvic Health, LLC
• Rocky Mountain Planned Parenthood, Inc. (Planned Parenthood of the Rocky Mountains)
• Rocky Mountain Planned Parenthood, Inc.
• Rocky Mountain Planned Parenthood, Inc.
• Rocky Mountain Psychiatric Associates, LLC
• Rocky Mountain Retina Associates Inc
• Rocky Mountain Sleep Consultants, Inc.
• Rocky Mountain Treatment Centers, Boulder, LLC
• Rocky Mountain Urgent Care, LLC
• Rocky Mountain Veterinary Cardiology

• General Practice Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• General Practice Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.